Service and Education Service and Education Partnership MeetingPartnership Meeting
Allan Jolly
Associate Director Workforce & Education
SoS FOR HEALTH’S PRIORITIESSoS FOR HEALTH’S PRIORITIES
1. Patients at the heart of all that we do
2. Focus on outcomes
3. Empower professionals to deliver
4. Prioritise public health and prevent ill-health
5. Reform social care
6. Management costs too high-reverse the increase of recent years with a further reduction of another 1/3 beyond that
DAVID NICHOLSON’S 5 PRIORITIESDAVID NICHOLSON’S 5 PRIORITIES
1. System focused on Quality and Outcomes
2. Information Revolution
3. QIPP
4. GP Commissioning
5. Supply side Foundation Trust reform
1. visible strategic leadership across the system...
2. ensure the successful delivery of current PCT operating plans, securing financial stability and service change...
3. lead and facilitate implementation of national changes...
4. accelerate progress towards autonomous provider organisations...
5. lead and support staff through a period of transition...
6. influence emerging national policy and strategy...
SHA 6 PRIORITIES SHA 6 PRIORITIES
“...exhibit leadership behaviours which engage positively and flexibly with the process of change, and give us the best chance of success.
•avoiding becoming commentators. In this change we must be on the pitch not in the commentary box;
•looking out. Good leadership has always been about looking across boundaries, it has never been about standing behind walls and defending organisational self interest. This time of change could lead people to become inward looking and defensive, but it is self defeating and we must not do it;
•seeing the opportunities of this time and these changes, thinking ourselves into how we can maximise them, not just mitigating the risks.”
DN transition letter to CEs dated 13 July DN transition letter to CEs dated 13 July
Debate principles
against which MPET
investment will be made
Take action to produce long
term workforce plans to inform
education commissioning
plans
Discusseducation
commissions 2011/12 in advance of
SWA
Gain critical overview of the budget management necessary to achieve MPET reductions
Our opportunitiesOur opportunitiestodaytoday
Shaping the Future (QIPP); NHS South Central to save £1.3bn over 3 years, 60-70% spent on workforce
MPET budget reductions of 14-15% over three years equivalent in South Central to £45m
3500 equivalent reductions in 2010/11:about a 7% reduction in workforce across the region over 3 years
Service Provider Organisations
£
SHASIRF
Workforce & Education
(MPET)
ReduceReduce
SIFTSIFT HEI Contracts
HEI ContractsCPD
(NMET)CPD
(NMET)Salary
Support(MADEL)
Salary Support
(MADEL)
MPET reduction
£Workforce & Education
(MPET)
Workforce & Education
(MPET)
‘‘Your’ budget, ‘My’ Your’ budget, ‘My’ budget: it is all linked...budget: it is all linked...
‘‘asp’asp’ects of commissioning...ects of commissioning...
2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16
200 210*
Financial Year
System Population of Students:
*Despite cutting commissions for the new intake for 2011-12 by 10 (60 down to 50 respectively) the system population of students has actually increased by 10 as the smaller completing cohort of 40 qualifies.
40
50
60
Cut to 50
50
Service Commissioning & ProvidingService Commissioning & Providing
Audit Commission feedback:• Successful planning beyond one year is
compromised as w/f planning is not consistently integrated with strategic service and financial objectives across the economy in the medium and long term and...
• Few w/f plans take account of service needs of achieving shared targets and ambitions e.g. excludes local authorities/social services
We needWe need
Long-term (3-5 year) integrated workforce plans
Comprehensive process to informeducation commissioning
(HEI, FE & CPD)
• Ensure MPET envelope invested for future workforce (demand led)
• Avoid or deliberately destabilising service provision
• Harness opportunities for service redesign and role substitution
• Prioritise education & training (HEI/FE and service) for max. benefit for patients
Our Shared ChallengeOur Shared Challenge
Consultation and timelineConsultation and timeline
How we have engaged with stakeholders:• Workforce Strategy conference (5 Dec 2009) 5% MPET
reductions discussed• Discussions with HEIs for 2010/11 commissions 18 & 21
Dec 2009• HEI briefing 28 April 2010• LDA Meetings with NHS trusts May/June 2010• SEP Meetings 26 May & 22 June: 14% MPET reductions
discussed• Medical Directors’ Forum• Directors of Nursing
Consultation and timelineConsultation and timeline
• Nursing Workforce Strategy 29 June – 15% MPET reductions discussed
• MPET Review Clinical Placement tele-conferences with trusts July 2010
• SWA HEI/SHA HENSE Joint Action Meeting – 13 August• SEP Meeting 31 August – 5% commissioning cuts
2010/11• Individual HEI Meetings Aug/Sept 2010• Finalised by SWA 15 September 2010
Opportunities today:Opportunities today:
• Debate and influence the MPET Investment Principles (session 1)
• Determine how health service organisation infrastructure needs to change to enable workforce planning for 3-5 years ahead (session 1)
• Inform education commissioning assumptions: affordable, meet demand and is sustainable (session 2)
Note new website address:
www.workforce.southcentral.nhs.uk